Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:6] From: Dr William Cullen (Professor Cullen) / To: Dr David Skene / Regarding: Miss E Fraser (Miss Fraser of Inverallochy) (Patient) / 1764 / (Outgoing)

Reply 'To Dr David Skene, Physician, Aberdeen'. Contains advice for a Miss Fraser, and also mentions a Miss Grant.

Facsimile

There are 3 images for this document.

[Page 1]


 

[Page 2]


 

[Page 3]


 
 

Metadata

FieldData
DOC ID 6
RCPE Catalogue Number CUL/1/1/1/3
Main Language English
Document Direction Outgoing
Date1764
Annotation None
TypeScribal copy ( includes Casebook Entry)
Enclosure(s) No enclosure(s)
Autopsy No
Recipe Yes
Regimen No
Letter of Introduction No
Case Note No
Summary Reply 'To Dr David Skene, Physician, Aberdeen'. Contains advice for a Miss Fraser, and also mentions a Miss Grant.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:152]
Case of Miss Fraser who is prescribed for 'looseness' (see also Case 1239).
1


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:7]AddresseeDr David Skene
[PERS ID:953]PatientMiss E Fraser (Miss Fraser of Inverallochy)
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:7]Patient's Physician / Surgeon / ApothecaryDr David Skene
[PERS ID:954]Patient's Relative / Spouse / FriendMiss Grant

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Aberdeen East Highlands Scotland Europe certain
Mentioned / Other Inverallochy East Highlands Scotland Europe certain

Normalized Text

[Page 1]
To Dr David Skene Physician Aberdeen
Dear Sir


Along with this I send you my advice for Miss
Fraser and shall be glad to find it agreable to your
opinion & judgement which I have a great regard
for her. I have reserved the subject of medecines
to this Letter because I must subject them to your
discretion which from former experience and present
Circumstances must regulate the use of any
medecines prepared - I suppose you have tryed
the Pulv.Stypticus Pharm Paup. 1 and in consequence
of your tryals can judge of its Effects on the
stomach & particularly on the looseness - If the stomach
bears it it is certainly one of the safest as it
is the coolest astringent we can employ.


The Checking some of the evacuations in this
Case must be a work of time but I think
we may command the looseness immediately.
I hope the Styptic Powder has some effect
but if it has not I would add an opiate now and
then- It is I think necessary to keep the looseness
within due bounds and therefore propose the
opiate but at the same time would avoid em¬
ploying it constantly or even the styptic
so as to bring on great Costiveness. If it shall
happen that the styptic powder does not agree
with the stomach or proves too astringent to the
belly I would put in its place the following
preparation.




[Page 2]

Take half an ounce of Peruvian bark, and a drachm apiece of Japanese earth and crushed pomegranate bark. Pour in a pint of boiled spring water, and steep for a period of two days, and then strain and here add two ounces of Peruvian bark tincture, and top with either two, three, or four blades of scurvy grass twice over three days, and then bear it to the stomach.


To each Dose of the In¬
fusion I would add ten or 15 drops of Elix Vitriol
& even to these strengthners I would at times join
an opiate more or less frequently as it shall
be found to affect her breathing, Pulse or sweats.


These medecines are as you will perceive
intended chiefly to moderate the excessive evacua[e?]
& it may be justly supposed that some regard also
should be had to the Disorder (↑complaints↑) of her Breast.


I hope the Voyage will prove the Remedy and
while she is employing that the only other I would
propose is the following

Take one ounce of dried tussilago leaves, and a drachm of Parietaria, boil and add two pints of spring water, and to the second pint add two drachms of licorice root. Strain well and add two drachms of sugar candy and add half a drachm of sugar of anise


Of this Decoction she should take from half
a muchkin to a muchkin as her Stomach
bears it every day - It may be taken at such
times and in such Draughts as she pleases but
into every draught put from a Scruple to
half a dram of powdered G. Arabic so as she
may take from ʒi to ʒii of this every day.


I have found the Tussilago usefull in



[Page 3]

in resolving obstructed lungs and the rest is
intended to take of the acrimony that is so often
troublesome in such Complaints - This is all
I can propose at present you will make what
additions you think proper - Youll see the trust
I have in your judgement by my leaving
so many particulars to be conducted by
your discretion - I am vexed this Letter
has been so long delayed but it has not
been in my power to help it - Make
my Respectfull Compliments to Inveralocky and
to Miss Fraser for whom I earnestly pray -


If you could let Miss Grant know that
a small specimen of her has engaged my
utmost regard you will do me justice.


I am with very great regard & heartily
wishing a nearer Aquantance

Dear Sir
W.C.

Notes:

1: See Royal Infirmary of Edinburgh, Pharmacopoeia pauperum, in usum Nosocomii Regii Edinburgensis (Edinburgh: 1763), p. 32.

Diplomatic Text

[Page 1]
To Dr David Skene Physician Aberdeen
Dr Sir


Along with this I send you my advice for Miss
Fraser and shall be glad to find it agreable to your
opinion & judgement which I have a great regard
for her. I have reserved the subject of medecines
to this Letter because I must subject them to your
discretion which from former experience and present
Circumstances must regulate the use of any
medecines prepared - I suppose you have tryed
the Pulv.Stypticus Pharm Paup. 1 and in consequence
of your tryals can judge of its Effects on the
stomach & particularly on the looseness - If the stomach
bears it it is certainly one of the safest as it
is the coolest astringent we can employ.


The Checking some of the evacuations in this
Case must be a work of time but I think
we may command ye looseness immediately.
I hope the Styptic Powder has some effect
but if it has not I would add an opiate now and
then- It is I think necessary to keep the looseness
within due bounds and therefore propose the
opiate but at the same time would avoid em¬
ploying it constantly or even the styptic
so as to bring on great Costiveness. If it shall
happen that ye styptic powder does not agree
wt the stomach or proves too astringent to the
belly I would put in its place the following
preparation.




[Page 2]


Cort. Peruv ℥ſs Terr. Japon Cort Granatur
contus @ ʒi affund Aq. Fontan Bullient lib i
Macera per biduum & colature adde Tinct. Cort
Peruv.
℥ii Cap. Cochl. ii iii vel iv bis terve in Die
pront ferat ventriculus-


To each Dose of the In¬
fusion I would add ten or 15 drops of Elix Vitriol
& even to these strengthners I would at times join
an opiate more or less frequently as it shall
be found to affect her breathing, Pulse or sweats.


These medecines are as you will perceive
intended chiefly to moderate the excessive evacua[e?]
& it may be justly supposed that some regard also
should be had to the Disorder (↑complaints↑) of her Breast.


I hope the Voyage will prove the Remedy and
while she is employing that the only other I would
propose is the following


℞ Fol. Tussilag. Siccat
℥i Parietar ʒi coque ex Aq. Fontan lib ii ad lib i
sub finem addendo Rad. Glychiyrrhiz. ʒii Colabene
adde Sachar Cand ʒii Sachar [Anisad?] ʒſs-


Of this Decoction she should take from half
a muchkin to a muchkin as her Stomach
bears it every day - It may be taken at such
times and in such Draughts as she pleases but
into every draught put from a Scruple to
half a dram of powdered G. Arabic so as she
may take from ʒi to ʒii of this every day.


I have found the Tussilago usefull in



[Page 3]

in resolving obstructed lungs and the rest is
intended to take of the acrimony that is so often
troublesome in such Complaints - This is all
I can propose at present you will make what
additions you think proper - Youll see the trust
I have in your judgement by my leaving
so many particulars to be conducted by
your discretion - I am vexed this Letter
has been so long delayed but it has not
been in my power to help it - Make
my Respectfull Compts to Inveralocky and
to Miss Fraser for whom I earnestly pray -


If you could let Miss Grant know that
a small specimen of her has engaged my
utmost regard you will do me justice.


I am with very great regard & heartily
wishing a nearer Aquantance

Dr Sir
W.C.

Notes:

1: See Royal Infirmary of Edinburgh, Pharmacopoeia pauperum, in usum Nosocomii Regii Edinburgensis (Edinburgh: 1763), p. 32.

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